[0]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2146970.214697base value0.2362680.236268fLABEL_0(inputs)0.071 - cont integrillin for 12 0.017 <event_related_to_problem>STEMI</event_related_to_problem> 0.017 myocardial infarction</primary_problem>. 0.016 improved after intervention. 0.016 inferior <primary_problem> 0.013 found to have an 0.01 presented with a 0.01 ASA 0.01 \n\ 0.009 and 0.009 , 0.009 - 0.009 - cycle enzymes 0.009 to RCA 0.007 now s 0.007 </problem>: Patient 0.007 <primary_symptom>chest pain</primary_symptom>, 0.006 x 0.006 . 0.005 /p 0.004 mg 0.004 Plavi 0.003 and EKG 0.003 . -0.022 a 46 year old -0.022 The patient is -0.02 7**] -0.015 CORO -0.012 NARIES -0.012 daily -0.012 hrs - will check lipid panel and -0.01 and titrate up as -0.009 -0.009 Hospital1 -0.009 5mg -0.008 . -0.008 signifant -0.008 ><\s><problem> -0.007 history who presented with -0.006 past medical -0.006 metoprolol 12 -0.006 male with no -0.006 - -0.005 The -0.005 <event_related_to_problem>DEX</event_related_to_problem> -0.005 325 -0.005 -0.005 -0.004 [** -0.004 patient remains chest pain free, -0.004 tolerated - -0.003 - -0.002 n<\s -0.002 HbgA1c in AM -0.002 Starting high dose statin -0.001 . -0.001 75
inputs
-0.022 / 4
The patient is
-0.022 / 4
a 46 year old
-0.006 / 3
male with no
-0.008 / 3
signifant
-0.006 / 4
past medical
-0.007 / 4
history who presented with
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<primary_symptom>chest pain</primary_symptom>,
0.009
and
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found to have an
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inferior <primary_problem>
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myocardial infarction</primary_problem>.
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.
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\n\
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n<\s
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><\s><problem>
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CORO
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NARIES
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</problem>: Patient
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presented with a
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<event_related_to_problem>STEMI</event_related_to_problem>
0.009
,
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now s
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/p
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<event_related_to_problem>DEX</event_related_to_problem>
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to RCA
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.
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The
-0.004 / 6
patient remains chest pain free,
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and EKG
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improved after intervention.
-0.005
-0.005
0.009
-
0.01
ASA
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325
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-
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Plavi
0.006
x
-0.001
75
0.004
mg
-0.012 / 2
daily
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-
-0.006 / 2
metoprolol 12
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.
-0.009 / 2
5mg
-0.004 / 2
[**
-0.009 / 2
Hospital1
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7**]
-0.01 / 5
and titrate up as
-0.004 / 4
tolerated -
-0.002 / 4
Starting high dose statin
0.071 / 8
- cont integrillin for 12
-0.012 / 9
hrs - will check lipid panel and
-0.002 / 8
HbgA1c in AM
0.009 / 5
- cycle enzymes
0.006
.
0.0

[1]
outputs
LABEL_0
LABEL_1
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LABEL_3


0.40.200.60.80.2139470.213947base value0.8889340.888934fLABEL_0(inputs)0.064 hyperkal 0.056 emic 0.037 ># <problem> 0.036 Hyperkalemia 0.028 ><\s 0.028 and 0.026 will give for K 0.024 n<\s 0.023 <primary_sign> 0.023 urosepsis 0.023 lytes, 0.023 and <secondary_problem> 0.017 acute membrane stabilization</event_related_to_problem>, 0.015 </primary_problem>\n\ 0.014 The patinet 0.014 old female 0.014 the setting 0.013 Age over 90 ** 0.013 temporary potassium shift, 0.012 of 0.012 <primary_problem>ARF 0.011 <primary_symptom>altered mental status</primary_symptom> 0.01 with 0.01 </primary_sign> in 0.01 </secondary_problem> presenting 0.009 found to be 0.009 home potassium 0.008 </primary_sign>, 0.008 with both <event_related_to_problem> 0.008 </problem>: Now reversed 0.008 <primary_sign>bradycardic 0.007 5 -- 0.007 ] year 0.007 -- hold 0.007 and 0.007 improved -- Continue to follow 0.006 0.006 , 0.005 [** 0.005 > 5. 0.004 closely w/ [ 0.004 is a 0.004 but 0.004 <primary_sign>hypotensive 0.003 </primary_sign>, 0.002 resin binding. 0.002 . 0.002 Still mildly elevated 0.001 , -0.007 with a history of -0.004 <secondary_problem>hypertension</secondary_problem> -0.002 **Hospital1 **] -0.0 Manage ARF as below
inputs
0.014 / 4
The patinet
0.004 / 2
is a
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[**
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Age over 90 **
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] year
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old female
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with a history of
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<secondary_problem>hypertension</secondary_problem>
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and <secondary_problem>
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urosepsis
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</secondary_problem> presenting
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with
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<primary_symptom>altered mental status</primary_symptom>
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,
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found to be
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<primary_sign>hypotensive
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</primary_sign>,
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<primary_sign>bradycardic
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</primary_sign>,
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and
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emic
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</primary_sign> in
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the setting
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</primary_problem>\n\
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n<\s
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><\s
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># <problem>
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Hyperkalemia
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</problem>: Now reversed
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with both <event_related_to_problem>
0.017 / 5
acute membrane stabilization</event_related_to_problem>,
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temporary potassium shift,
0.007
and
0.002 / 3
resin binding.
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Still mildly elevated
0.001
,
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but
0.007 / 8
improved -- Continue to follow
0.004 / 4
closely w/ [
-0.002 / 5
**Hospital1 **]
0.023 / 3
lytes,
0.026 / 4
will give for K
0.005 / 3
> 5.
0.007 / 4
5 --
-0.0 / 5
Manage ARF as below
0.002
.
0.006 / 2
0.007 / 2
-- hold
0.009 / 3
home potassium

[2]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2104070.210407base value0.8092880.809288fLABEL_0(inputs)0.058 Anastomotic 0.045 ># 0.044 small anastomotic 0.044 leak now 0.038 <problem> 0.032 male 0.026 complicated by 0.024 leak</problem>: now 0.024 in the ICU 0.024 . 0.024 surgical repair 0.022 <primary_symptom> 0.021 >< 0.02 . 0.02 54 0.018 n<\s 0.018 w/ general surgery 0.018 \s 0.017 the setting of a 0.016 \n\ 0.015 following 0.015 - monitor 0.015 p 0.015 s/ 0.014 drain output 0.013 old 0.013 . 0.013 year 0.012 repair</event_related_to_problem> 0.012 <event_related_to_problem>surgical 0.009 rectosigmoid 0.008 0.008 . 0.007 with 0.007 <secondary_problem> 0.007 </primary_symptom> in 0.006 cancer</secondary_problem> 0.005 s/ 0.005 p 0.005 0.004 0.004 <secondary_problem>open 0.003 , 0.003 , 0.002 recently diagnosed 0.002 and 0.001 fevers 0.001 a history -0.054 HT -0.032 N -0.031 <secondary_problem>BPH -0.015 <secondary_problem> -0.008 Continued -0.008 </secondary_problem> -0.007 of -0.007 </secondary_problem> -0.005 dilaudid PCA for -0.002 management -0.002 , -0.002 pain control -0.001 co- -0.001 low anterior -0.001 - -0.0 resection</secondary_problem>
inputs
0.004
0.02
54
0.013
year
0.013
old
0.032
male
0.007
with
0.001 / 2
a history
-0.007 / 2
of
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<secondary_problem>BPH
-0.008
</secondary_problem>
0.003
,
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<secondary_problem>
-0.054
HT
-0.032
N
-0.007
</secondary_problem>
0.003
,
0.002
and
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recently diagnosed
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<secondary_problem>
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rectosigmoid
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cancer</secondary_problem>
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s/
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p
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<secondary_problem>open
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low anterior
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resection</secondary_problem>
-0.002
,
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complicated by
0.022 / 3
<primary_symptom>
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fevers
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</primary_symptom> in
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the setting of a
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small anastomotic
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leak now
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in the ICU
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following
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surgical repair
0.024
.
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\n\
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n<\s
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><
0.018 / 2
\s
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>#
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<problem>
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Anastomotic
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leak</problem>: now
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s/
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p
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<event_related_to_problem>surgical
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repair</event_related_to_problem>
0.02
.
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Continued
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co-
-0.002 / 2
management
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w/ general surgery
0.008
.
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0.015 / 2
- monitor
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drain output
0.013
.
-0.001 / 3
-
-0.005 / 5
dilaudid PCA for
-0.002 / 2
pain control
0.005

[3]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2383540.238354base value0.5683480.568348fLABEL_0(inputs)0.053 infarct</primary_sign> in L 0.043 </secondary_problem> presenting 0.04 PICA and 0.033 with <primary_symptom> 0.03 0.027 vs 0.024 territories 0.024 left PCA 0.024 embolic infarct 0.022 vs vasculitis 0.02 ><problem> 0.018 \s 0.017 ? 0.016 <secondary_problem> 0.011 </secondary_problem> 0.011 \ 0.01 enol 0.01 </primary_symptom> found 0.01 >< 0.007 vs 0.007 condition 0.007 dissection 0.007 to have 0.006 and 0.006 n 0.005 vertigo 0.004 <primary_sign> 0.004 \ 0.002 - 0.002 n< 0.002 and <primary_symptom> 0.001 coagulable 0.0 , -0.029 prn -0.024 HT -0.02 <secondary_problem>PCOS -0.02 -0.014 Occlusion [** -0.008 N -0.007 DMII -0.006 8** -0.006 Pain</problem> - -0.006 vertebral artery</primary_symptom>. -0.005 o -0.005 hyper -0.005 F with -0.004 </secondary_problem> -0.004 yo -0.002 h/ -0.002 2- -0.002 , -0.002 tyl -0.001 39 -0.001 occlussion of L -0.001 \s -0.001 ] -0.0 <secondary_problem>
inputs
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39
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yo
-0.005 / 2
F with
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h/
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o
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<secondary_problem>PCOS
-0.004
</secondary_problem>
0.0
,
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<secondary_problem>
-0.024
HT
-0.008
N
0.011
</secondary_problem>
-0.002
,
0.006
and
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<secondary_problem>
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DMII
0.043 / 2
</secondary_problem> presenting
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0.033 / 3
with <primary_symptom>
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vertigo
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</primary_symptom> found
0.007 / 2
to have
0.004 / 2
<primary_sign>
0.053 / 4
infarct</primary_sign> in L
0.04 / 3
PICA and
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left PCA
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territories
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and <primary_symptom>
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occlussion of L
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vertebral artery</primary_symptom>.
-0.014 / 4
Occlusion [**
-0.002 / 2
2-
-0.006 / 2
8**
-0.001
]
0.007
dissection
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vs
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hyper
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-
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coagulable
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vs
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embolic infarct
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vs vasculitis
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?
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\
0.006
n
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\
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><
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\s
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><problem>
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Pain</problem> -
-0.002 / 2
tyl
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enol
-0.029 / 2
prn
-0.02

[4]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2110180.211018base value0.8204820.820482fLABEL_0(inputs)0.057 hypot 0.049 ension 0.04 Hypot 0.039 >< 0.038 ension 0.031 \s 0.031 n\ 0.027 \ 0.025 , 0.024 n< 0.022 \s 0.022 , 0.021 </primary_sign> 0.02 ><problem> 0.019 pressors 0.018 <primary_sign> 0.018 <secondary_problem>VAP</secondary_problem> 0.015 respiratory 0.014 Res 0.014 51 0.014 y/ 0.013 failure</primary_problem> 0.012 failure</primary_problem>, 0.012 respiratory 0.012 and 0.012 o male 0.01 : 0.01 and 0.009 <secondary_problem>ARF</secondary_problem> 0.009 </problem> 0.009 hypercarbic 0.008 with a 0.008 with IVF 0.006 olved 0.005 <primary_problem>hypoxic 0.004 and 0.003 . 0.002 and 0.002 hyperc 0.0 <secondary_problem> -0.027 INR</primary_symptom> -0.017 . -0.014 restrictive disease -0.011 . -0.009 </secondary_problem> recently admitted with -0.007 arbic -0.002 severe mixed obstructive -0.002 Off -0.002 <primary_symptom>elevated -0.001 history of -0.001 now readmitted with <primary_problem> -0.0
inputs
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51
0.014 / 2
y/
0.012 / 2
o male
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with a
-0.001 / 2
history of
0.0 / 2
<secondary_problem>
-0.002 / 3
severe mixed obstructive
0.002
and
-0.014 / 4
restrictive disease
-0.009 / 4
</secondary_problem> recently admitted with
0.005 / 4
<primary_problem>hypoxic
0.004
and
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hypercarbic
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respiratory
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failure</primary_problem>,
0.018 / 4
<secondary_problem>VAP</secondary_problem>
0.01
and
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<secondary_problem>ARF</secondary_problem>
-0.001 / 5
now readmitted with <primary_problem>
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hyperc
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arbic
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respiratory
0.013 / 3
failure</primary_problem>
0.022
,
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hypot
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ension
0.021
</primary_sign>
0.025
,
0.012
and
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INR</primary_symptom>
-0.017
.
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\
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n\
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\s
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><
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\s
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><problem>
0.04 / 2
Hypot
0.038
ension
0.009
</problem>
0.01
:
0.014
Res
0.006
olved
0.008 / 2
with IVF
0.003
.
-0.002 / 2
Off
0.019 / 2
pressors
-0.011 / 3
.
-0.0

[5]
outputs
LABEL_0
LABEL_1
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0.40.200.60.80.2111880.211188base value0.6747130.674713fLABEL_0(inputs)0.049 cholangitis 0.049 antimicrobials 0.036 ><\s 0.029 NGITIS 0.027 . 0.025 . 0.025 , 0.024 CHOLA 0.022 </primary_problem> 0.019 sepsis 0.018 </primary_problem> 0.013 \s 0.012 Monitor 0.012 n< 0.012 . 0.011 <primary_problem> 0.01 P 0.009 ><problem> 0.009 ERCP 0.009 </problem> -- 0.008 extraction 0.008 \ 0.008 n\ 0.007 0.007 duct stone 0.007 common 0.006 0.006 / 0.005 multiple 0.005 0.004 biliary stones 0.003 bile 0.003 <event_related_to_problem> 0.003 0.003 ue 0.002 . 0.0 0.0 -0.018 LFTs -0.006 Asc -0.006 <primary_problem> -0.004 ending -0.004 . -0.001 -0.001 S -0.001 Contin -0.001 </event_related_to_problem> -0.0 of
inputs
0.0
-0.006
<primary_problem>
-0.006
Asc
-0.004
ending
0.049
cholangitis
0.022
</primary_problem>
0.025
,
0.007
0.011
<primary_problem>
0.019 / 2
sepsis
0.018
</primary_problem>
0.025
.
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\
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n\
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n<
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\s
0.036 / 4
><\s
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><problem>
0.024 / 2
CHOLA
0.029 / 3
NGITIS
0.009 / 2
</problem> --
0.007
common
0.003
bile
0.007 / 2
duct stone
0.002
.
0.0
-0.001
S
0.006
/
0.01
P
0.003
0.003
<event_related_to_problem>
0.009
ERCP
0.008
extraction
-0.0
of
0.005
multiple
0.006 / 2
0.004 / 2
biliary stones
-0.001
</event_related_to_problem>
0.012
.
0.005
0.012 / 2
Monitor
-0.018 / 2
LFTs
-0.004
.
-0.001
-0.001
Contin
0.003
ue
0.049
antimicrobials
0.027
.
0.0

[6]
outputs
LABEL_0
LABEL_1
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LABEL_3


0.40.200.60.80.2151020.215102base value0.5798550.579855fLABEL_0(inputs)0.042 tylenol od, 0.035 </primary_problem> <secondary_problem> 0.027 acetaminophen toxicity, 0.021 F with <secondary_problem> 0.017 admit level 115. 0.017 toxic ingestion</secondary_problem> and 0.015 <primary_problem>ADVERSE 0.014 presently sedated and 0.014 intubated for airway protection. 0.014 flumazenil 0.013 MEDICATION TOXICITY) 0.013 DRUG EVENT 0.013 with no need for 0.013 (ADR, ADE, 0.012 level 0. 0.01 level trending 0.01 would give 0.01 tylenol 0.01 and serum tox 0.009 0.009 </problem>: Urine 0.009 ><\s 0.009 ><problem>Toxic 0.008 - serial 0.007 sodium bicarbonate 0.007 positive for benzodiazepines, 0.007 EKGs 0.007 and opiates. 0.007 n<\s 0.006 Ingestion 0.006 narcan 0.005 2am). 0.005 or 0.004 down 0.003 tricyclic antidepressants, 0.003 \n\ 0.002 msec 0.002 - Pt awake 0.001 . 0.001 enol 0.001 - 0.001 , -0.017 5</secondary_problem> ASSESSMENT -0.011 : 30 y. -0.011 37 at -0.009 & PLAN -0.007 , -0.004 -0.004 QRS > -0.004 tyl -0.004 to monitor QRS interval -0.002 o -0.001 ( -0.001 100 -0.0 20 hours -0.0 until -0.0 --> if -0.0 Continue NAC beyond
inputs
0.015 / 5
<primary_problem>ADVERSE
0.013 / 4
DRUG EVENT
0.013 / 5
(ADR, ADE,
0.013 / 10
MEDICATION TOXICITY)
0.035 / 4
</primary_problem> <secondary_problem>
0.042 / 5
tylenol od,
0.017 / 4
admit level 115.
-0.017 / 9
5</secondary_problem> ASSESSMENT
-0.009 / 3
& PLAN
-0.011 / 4
: 30 y.
-0.002
o
0.001
.
0.021 / 4
F with <secondary_problem>
0.017 / 4
toxic ingestion</secondary_problem> and
0.027 / 5
acetaminophen toxicity,
0.014 / 3
presently sedated and
0.014 / 5
intubated for airway protection.
0.003 / 3
\n\
0.007 / 4
n<\s
0.009 / 4
><\s
0.009 / 4
><problem>Toxic
0.006 / 2
Ingestion
0.009 / 3
</problem>: Urine
0.01 / 3
and serum tox
0.007 / 4
positive for benzodiazepines,
0.003 / 5
tricyclic antidepressants,
0.007 / 4
and opiates.
-0.004 / 2
0.001
-
-0.004 / 2
tyl
0.001
enol
0.01 / 3
level trending
0.004
down
-0.001
(
-0.011 / 2
37 at
0.005 / 3
2am).
-0.0 / 4
Continue NAC beyond
-0.0 / 2
20 hours
-0.0 / 3
until
0.01 / 3
tylenol
0.012 / 3
level 0.
0.009 / 2
0.008 / 2
- serial
0.007 / 3
EKGs
-0.004 / 4
to monitor QRS interval
-0.0 / 2
--> if
-0.004 / 2
QRS >
-0.001
100
0.002
msec
-0.007
,
0.01 / 4
would give
0.007 / 4
sodium bicarbonate
0.002 / 3
- Pt awake
0.001
,
0.013 / 4
with no need for
0.014 / 5
flumazenil
0.005
or
0.006 / 3
narcan

[7]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2147780.214778base value0.2528760.252876fLABEL_0(inputs)0.017 <secondary_problem>Respiratory failure</secondary_problem>, <secondary_problem>DIC</secondary_problem>, <secondary_problem>sepsis</secondary_problem>, <secondary_problem>hepatic failure</secondary_problem> and <primary_problem>altered mental status</primary_problem> primary issues at present. 0.016 </secondary_problem> <secondary_problem>SEPSIS, 0.01 - Pain control with fentanyl 0.009 \n\n<\s><\s># <problem>Rib 0.008 OTHER</primary_problem> <secondary_problem>ACUTE 0.008 <primary_symptom>breast pain</primary_symptom> and a <primary_symptom>rash</primary_symptom>, <primary_symptom>broken ribs</primary_symptom>. 0.007 <primary_symptom>nausea</primary_symptom>, <primary_symptom>vomiting</primary_symptom>, <primary_sign>melena</primary_sign>, 0.007 <secondary_problem>coagulopathy</secondary_problem> and <primary_sign>gastric varices</primary_sign> that are now bleeding. 0.007 Fractures/Trauma</problem> Etiology unclear. 0.006 Impression: <primary_problem>Liver failure</primary_problem> complicated by <secondary_problem>coma</secondary_problem>, 0.006 Ecchymoses on exam 0.006 Prognosis very poor. 0.006 (NOT DELIRIUM) 0.006 (shoulder and back). Possible neck trauma, 0.005 unable to assess pain. 0.005 Will meet with family today to discuss goals of care. 0.005 MENTAL STATUS 0.004 VARICES</secondary_problem> <secondary_problem> 0.004 BRBPR, 0.004 ])</secondary_problem> <secondary_problem>CIRRHOSIS OF LIVER, 0.004 GI BLEED, GIB) 0.003 - Social work consult when awake 0.002 BLEED, 0.002 <secondary_problem>depression</secondary_problem> who presents with <primary_symptom>abdominal pain</primary_symptom>, 0.002 <secondary_problem>GASTROINTESTINAL 0.001 </secondary_problem> <secondary_problem>ALTERED 0.001 SEVERE 0.001 further history when able 0.001 (WITH ORGAN DYSFUNCTION) 0.001 - Obtain 0.0 </secondary_problem> <secondary_problem>ESOPHAGEAL 0.0 RASH 40 yo F with <secondary_problem>cirrhosis -0.019 </secondary_problem> <primary_problem>ALTERATION IN -0.013 Trauma was consulted in ED. Possible history of abuse. -0.013 NUTRITION -0.012 </primary_problem> <secondary_problem>ASCITES -0.01 (ACUTE PAIN, CHRONIC PAIN) -0.007 IMPAIRED SKIN INTEGRITY -0.007 </secondary_problem> [**1-24**] <secondary_problem>hep C</secondary_problem>, <secondary_problem>COPD</secondary_problem>, -0.006 ACUTE LUNG INJURY, -0.005 RESPIRATORY DISTRESS SYNDROME -0.005 (HEMATOCHEZIA, -0.004 ELECTROLYTE -0.004 Nothing to do for now. -0.004 </secondary_problem> <primary_problem> -0.004 DISORDER, -0.003 [**Doctor Last Name 2** -0.003 & FLUID -0.002 </secondary_problem> <secondary_problem>PAIN CONTROL -0.002 LOWER -0.001 ALCOHOLIC</secondary_problem> COAGULOPATHY -0.0 (ARDS,
inputs
0.002 / 9
<secondary_problem>GASTROINTESTINAL
0.002 / 4
BLEED,
-0.002 / 3
LOWER
-0.005 / 8
(HEMATOCHEZIA,
0.004 / 4
BRBPR,
0.004 / 8
GI BLEED, GIB)
0.0 / 9
</secondary_problem> <secondary_problem>ESOPHAGEAL
0.004 / 7
VARICES</secondary_problem> <secondary_problem>
-0.007 / 10
IMPAIRED SKIN INTEGRITY
-0.002 / 10
</secondary_problem> <secondary_problem>PAIN CONTROL
-0.01 / 13
(ACUTE PAIN, CHRONIC PAIN)
0.001 / 7
</secondary_problem> <secondary_problem>ALTERED
0.005 / 4
MENTAL STATUS
0.006 / 7
(NOT DELIRIUM)
0.016 / 7
</secondary_problem> <secondary_problem>SEPSIS,
0.001 / 4
SEVERE
0.001 / 12
(WITH ORGAN DYSFUNCTION)
-0.019 / 8
</secondary_problem> <primary_problem>ALTERATION IN
-0.013 / 4
NUTRITION
-0.012 / 7
</primary_problem> <secondary_problem>ASCITES
-0.004 / 4
</secondary_problem> <primary_problem>
-0.004 / 5
ELECTROLYTE
-0.003 / 3
& FLUID
-0.004 / 4
DISORDER,
0.008 / 9
OTHER</primary_problem> <secondary_problem>ACUTE
-0.005 / 13
RESPIRATORY DISTRESS SYNDROME
-0.0 / 3
(ARDS,
-0.006 / 11
ACUTE LUNG INJURY,
-0.003 / 9
[**Doctor Last Name 2**
0.004 / 14
])</secondary_problem> <secondary_problem>CIRRHOSIS OF LIVER,
-0.001 / 12
ALCOHOLIC</secondary_problem> COAGULOPATHY
0.0 / 15
RASH 40 yo F with <secondary_problem>cirrhosis
-0.007 / 19
</secondary_problem> [**1-24**] <secondary_problem>hep C</secondary_problem>, <secondary_problem>COPD</secondary_problem>,
0.002 / 14
<secondary_problem>depression</secondary_problem> who presents with <primary_symptom>abdominal pain</primary_symptom>,
0.007 / 19
<primary_symptom>nausea</primary_symptom>, <primary_symptom>vomiting</primary_symptom>, <primary_sign>melena</primary_sign>,
0.008 / 21
<primary_symptom>breast pain</primary_symptom> and a <primary_symptom>rash</primary_symptom>, <primary_symptom>broken ribs</primary_symptom>.
0.017 / 35
<secondary_problem>Respiratory failure</secondary_problem>, <secondary_problem>DIC</secondary_problem>, <secondary_problem>sepsis</secondary_problem>, <secondary_problem>hepatic failure</secondary_problem> and <primary_problem>altered mental status</primary_problem> primary issues at present.
0.006 / 18
Impression: <primary_problem>Liver failure</primary_problem> complicated by <secondary_problem>coma</secondary_problem>,
0.007 / 18
<secondary_problem>coagulopathy</secondary_problem> and <primary_sign>gastric varices</primary_sign> that are now bleeding.
0.006 / 5
Prognosis very poor.
0.005 / 13
Will meet with family today to discuss goals of care.
0.009 / 16
\n\n<\s><\s># <problem>Rib
0.007 / 14
Fractures/Trauma</problem> Etiology unclear.
0.006 / 5
Ecchymoses on exam
0.006 / 13
(shoulder and back). Possible neck trauma,
0.005 / 5
unable to assess pain.
-0.013 / 13
Trauma was consulted in ED. Possible history of abuse.
-0.004 / 8
Nothing to do for now.
0.01 / 8
- Pain control with fentanyl
0.003 / 8
- Social work consult when awake
0.001 / 4
- Obtain
0.001 / 5
further history when able

[8]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2151960.215196base value0.482130.48213fLABEL_0(inputs)0.034 ><\s><problem>Hematocrit Drop</problem>: 0.029 ovarian cancer</secondary_problem>, 0.028 and a <primary_symptom>drop in her hematocrit</primary_symptom>. 0.027 \n\n<\s 0.025 UTERINE, CERVICAL, ENDOMETRIAL) 0.024 with <secondary_problem>metastatic 0.023 - ICU monitoring for hemodynamic comprimise. 0.023 y/o woman 0.02 differnetial includes acitive bleeding vs. 0.02 4 hour Hct following transfusion 0.018 <secondary_problem> 0.017 (OVARIAN, 0.016 ANEMIA, 0.016 (MALIGNANT 0.015 <primary_symptom>dyspnea</primary_symptom>, 0.015 </secondary_problem> 0.014 </secondary_problem> 54 0.014 DY 0.014 </secondary_problem> <secondary_problem> 0.013 NEOPLASM), 0.013 GYNECOLOGICAL 0.013 - 0.009 Transfuse 0.009 CANC 0.008 x 4 unts - Q 0.005 SPNEA 0.002 ER 0.002 presenting with <primary_symptom>abdominal pain</primary_symptom>, -0.024 , -0.022 ANEMIA -0.019 OF BREATH -0.016 pancytopenia form chemotherapy or -0.015 ) -0.014 a combination of both. -0.013 - hold -0.011 lovenox for now -0.01 CHRON -0.008 Appreciate surgical consultation, -0.008 RTNESS -0.007 CHRONIC -0.006 -0.006 IC -0.005 will monitor for now. -0.004 given bleeding -0.003 SHO -0.003 <secondary_problem> -0.003 </secondary_problem> -0.002 <secondary_problem> -0.001 <secondary_problem>refractory ascites</secondary_problem>, -0.0 (
inputs
-0.003 / 2
<secondary_problem>
-0.022 / 3
ANEMIA
-0.024
,
-0.01 / 2
CHRON
-0.006
IC
0.015 / 2
</secondary_problem>
0.018 / 2
<secondary_problem>
0.014 / 2
DY
0.005 / 3
SPNEA
-0.0
(
-0.003 / 2
SHO
-0.008 / 3
RTNESS
-0.019 / 5
OF BREATH
-0.015
)
-0.003 / 2
</secondary_problem>
-0.002 / 2
<secondary_problem>
0.009 / 2
CANC
0.002
ER
0.016 / 5
(MALIGNANT
0.013 / 6
NEOPLASM),
0.013 / 5
GYNECOLOGICAL
0.017 / 5
(OVARIAN,
0.025 / 17
UTERINE, CERVICAL, ENDOMETRIAL)
0.014 / 4
</secondary_problem> <secondary_problem>
0.016 / 4
ANEMIA,
-0.007 / 3
CHRONIC
0.014 / 4
</secondary_problem> 54
0.023 / 4
y/o woman
0.024 / 4
with <secondary_problem>metastatic
0.029 / 4
ovarian cancer</secondary_problem>,
-0.001 / 6
<secondary_problem>refractory ascites</secondary_problem>,
0.002 / 10
presenting with <primary_symptom>abdominal pain</primary_symptom>,
0.015 / 7
<primary_symptom>dyspnea</primary_symptom>,
0.028 / 10
and a <primary_symptom>drop in her hematocrit</primary_symptom>.
0.027 / 7
\n\n<\s
0.034 / 12
><\s><problem>Hematocrit Drop</problem>:
0.02 / 9
differnetial includes acitive bleeding vs.
-0.016 / 8
pancytopenia form chemotherapy or
-0.014 / 5
a combination of both.
-0.008 / 8
Appreciate surgical consultation,
-0.005 / 5
will monitor for now.
0.013 / 3
-
0.009 / 3
Transfuse
0.008 / 8
x 4 unts - Q
0.02 / 8
4 hour Hct following transfusion
0.023 / 9
- ICU monitoring for hemodynamic comprimise.
-0.006 / 2
-0.013 / 2
- hold
-0.011 / 5
lovenox for now
-0.004 / 3
given bleeding

[9]
outputs
LABEL_0
LABEL_1
LABEL_2
LABEL_3


0.40.200.60.80.2146640.214664base value0.4099840.409984fLABEL_0(inputs)0.047 severe 3 vessel disease</primary_problem>. 0.043 ECG prompting cardiac cath that showed <primary_problem> 0.04 ># <problem> 0.04 Multivessel 0.027 CAD</problem>: Evaluated by CT 0.025 ><\s 0.025 \n\n<\s 0.014 cont ASA 0.013 This is a 0.012 greater than 100 to maintain coronary 0.011 67 year old male 0.009 perfusion - 0.009 ST-T wave changes on 0.009 , 0.006 Doctor First Name 0.005 chest pain</primary_symptom> with 0.005 CT [** 0.005 gtt for pain control keep SBP 0.005 </primary_sign> developed <primary_symptom> 0.005 and carotid duplex this am -cont nitro 0.005 <secondary_problem> 0.004 who presented 0.003 o <secondary_problem> 0.003 to an OSH 0.002 for procedure -f/u 0.002 </secondary_problem> 0.002 h/ 0.001 - TTE 0.001 with <primary_symptom> -0.028 proceed with CABG this am -0.019 **Hospital1 5 -0.011 91**] -0.011 systolic HF -0.01 . -0.01 Name **] overnight -0.008 is to -0.008 **] -0.007 to [ -0.007 -cont BB -0.007 -NPO -0.006 [** -0.006 Transferred -0.006 Plan at this time -0.006 <primary_sign>LE edema -0.005 HTN</secondary_problem> -0.005 recs -0.005 for further management -0.005 <secondary_problem>COPD</secondary_problem> -0.003 Doctor First -0.003 . -0.003 and -0.002 SOB</primary_symptom> -0.001 and -0.001 , -0.001 . -0.0 any pre-op
inputs
0.013 / 4
This is a
0.011 / 4
67 year old male
0.002 / 2
h/
0.003 / 3
o <secondary_problem>
-0.005 / 3
HTN</secondary_problem>
-0.001
,
0.005 / 2
<secondary_problem>
-0.011 / 2
systolic HF
0.002
</secondary_problem>
0.009
,
-0.001
and
-0.005 / 4
<secondary_problem>COPD</secondary_problem>
0.004 / 4
who presented
0.003 / 4
to an OSH
0.001 / 3
with <primary_symptom>
-0.002 / 3
SOB</primary_symptom>
-0.003
and
-0.006 / 4
<primary_sign>LE edema
0.005 / 4
</primary_sign> developed <primary_symptom>
0.005 / 4
chest pain</primary_symptom> with
0.009 / 8
ST-T wave changes on
0.043 / 8
ECG prompting cardiac cath that showed <primary_problem>
0.047 / 8
severe 3 vessel disease</primary_problem>.
-0.006 / 2
Transferred
-0.007 / 2
to [
-0.019 / 4
**Hospital1 5
-0.008 / 2
**]
-0.005 / 3
for further management
-0.001
.
0.025 / 7
\n\n<\s
0.025 / 4
><\s
0.04 / 4
># <problem>
0.04 / 3
Multivessel
0.027 / 8
CAD</problem>: Evaluated by CT
-0.006 / 2
[**
-0.003 / 3
Doctor First
-0.01 / 5
Name **] overnight
-0.003
.
-0.006 / 4
Plan at this time
-0.008 / 4
is to
-0.028 / 5
proceed with CABG this am
-0.01
.
0.001 / 5
- TTE
0.005 / 10
and carotid duplex this am -cont nitro
0.005 / 8
gtt for pain control keep SBP
0.012 / 8
greater than 100 to maintain coronary
0.009 / 4
perfusion -
0.014 / 4
cont ASA
-0.007 / 4
-cont BB
-0.007 / 4
-NPO
0.002 / 8
for procedure -f/u
-0.0 / 4
any pre-op
0.005 / 3
CT [**
0.006 / 5
Doctor First Name
-0.011 / 3
91**]
-0.005 / 3
recs